parastomal hernia


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parastomal hernia

A hernia in the abdominal wall adjacent to a constructed stoma, e.g., a colostomy or iliostomy.
See also: hernia
References in periodicals archive ?
Surgery at the four participating hospitals was performed by experienced colorectal surgeons with a special interest in parastomal hernia. One surgeon experienced in the PHP technique trained the participating surgeons to ensure optimised and equal technique.
During the study period, 31 patients (10, 9,7, and 5, resp., at the hospitals) were operated on due to parastomal hernia and were not included in the study.
Median parastomal hernia defect, not including the bowel diameter, was 5.0 cm (2-10), and the smaller mesh (12.5 x 15.5 cm) was used in 35 cases while the larger (15.5 x 20.5 cm) was used in 15 cases.
In three cases, the mesh was removed: two of these with incarcerated recurrent parastomal hernia and the third, mentioned earlier, with small intestinal leakage.
At one-year follow-up, 11/50 (22%) patients had parastomal hernia at clinical examination and 17/50 (34%) had bulging around the stoma (Table 3).
In total (one-month and one-year follow-up), four patients were reoperated on due to recurrent parastomal hernia, and in three of these cases, the opening in the mesh had become very tight, and in the fourth case, the opening had become much wider.
The recurrence rate of parastomal hernia surgery using PHP in this study must be regarded as high, taking into consideration the possibility of even later parastomal hernia recurrences.
At one-year follow-up, the parastomal hernia recurrence rate was 11/50 (22%), censored cases included.
One main reason for this decision was earlier studies with alternative mesh materials for parastomal hernia treatment showing similar figures regarding early complications [8].
Parastomal hernia rates vary between 0 and 78% [2].
parastomal hernia: Failure of a novel polypropylene mesh repair.
repair confirms the importance of prevention of parastomal hernias by